While providing the first in-depth history of the LaFargue Clinic (1946-57), the book focuses on the figures who came together in a seemingly unlikely union to found it: Richard Wright, the prominent author; Frederic Wertham, a German-American psychiatrist now known for his advocacy for censorship of comic books; and The Reverend Shelton Hale Bishop, an important Harlem pastor. Wright’s literary prowess, work for the Communist party, and brush with Chicago School sociology met with Wertham’s socially-conscious and uncompromising brand of psychoanalysis to challenge mainstream psychiatric theory and its discriminatory practices in the Jim Crow North. Those who could afford it were charged 25 cents for sessions in the basement of St. Philip’s Episcopal church in Harlem, and 50 cents for court testimonials. A thoroughgoing grassroots effort, ignored by philanthropists and state funding, the LaFargue Clinic throws mid-20th Century mental health and race relations into relief, and is sure to stir interest in the untold stories of projects like it.

In Under the Strain of Color, Gabriel N. Mendes recaptures the history of a largely forgotten New York City institution that embodied new ways of thinking about mental health, race, and the substance of citizenship. Harlem’s Lafargue Mental Hygiene Clinic was founded in 1946 as both a practical response to the need for low-cost psychotherapy and counseling for black residents (many of whom were recent migrants to the city) and a model for nationwide efforts to address racial disparities in the provision of mental health care in the United States.

The result of a collaboration among the psychiatrist and social critic Dr. Fredric Wertham, the writer Richard Wright, and the clergyman Rev. Shelton Hale Bishop, the clinic emerged in the context of a widespread American concern with the mental health of its citizens. It proved to be more radical than any other contemporary therapeutic institution, however, by incorporating the psychosocial significance of antiblack racism and class oppression into its approach to diagnosis and therapy.

Mendes shows the Lafargue Clinic to have been simultaneously a scientific and political gambit, challenging both a racist mental health care system and supposedly color-blind psychiatrists who failed to consider the consequences of oppression in their assessment and treatment of African American patients. Employing the methods of oral history, archival research, textual analysis, and critical race philosophy, Under the Strain of Color contributes to a growing body of scholarship that highlights the interlocking relationships among biomedicine, institutional racism, structural violence, and community health activism.

The most recent issue of the Journal of the History of Medicine and Allied Sciences contains two articles that will be of interest to historians of psychology.

“’A Fine New Child’: The Lafargue Mental Hygiene Clinic and Harlem’s African American Communities, 1946–1958″ by Dennis Doyle and “Physiological Optics, Cognition and Emotion: A Novel Look at the Early Work of Wilhelm Wundt” by Claudia Wassmann. Abstracts for both are below.

In 1946, the Lafargue Mental Hygiene Clinic, a small outpatient facility run by volunteers, opened in Central Harlem. Lafargue lasted for almost thirteen years, providing the underserved black Harlemites with what might be later termed community mental health care. This article explores what the clinic meant to the African Americans who created, supported, and made use of its community-based services. While white humanitarianism often played a large role in creating such institutions, this clinic would not have existed without the help and support of both Harlem’s black left and the increasingly activist African American church of the “long civil rights era.” Not only did St. Philip’s Church provide a physical home for the clinic, it also helped to integrate it into black Harlem, creating a patient community. Continue reading Early Wundt & Harlem Mental Health in JHMAS→